1773 Serpentine DrCITY OF EAGAN Remarks Sew & wtr permits and
Addition Cedar Grove #6 Lot 7 Blk 5 Parcel 10 16705 070.05
Owner i , - , Street 1.773 Serpentine Dr. State Eagan-, MN 55122
i
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 1970 1472-00 paid
WATERMAIN
WATER LATERAL 1970 9n
WATER AREA
# STORM SEW TRK 1270
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 210- On 1519 A
7
-
6 9
BUILDING PER. -
-
-
SAC 200.00 1519 6-27-69
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: I. t u T N1i
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
:I i N 1 1 Nt 1)h I. r i11'N( (r 1 Nt.
.!
PERMIT SUBTYPE:
. I
(6IZ) 6.33--iN4
TYPE OF WORK:
At II HAI JON
NA', T 11`J K T f AA : I IN[
1)11;CNTPT ION
4
V
F J
Permit No. Permit Holder Date Telephone •
ELECTRIC
PLUMBING
HVAC
inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
z6Z
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ......r2w .................. --------------
.
Address (present) .•?r.Y.?:------- ? ."' -----Sln' ?-' ..................
Builder
Address
N° 204'7
Eagan Township
Town Hall
Date ...... ..!'-/°1.7:(.6:.7 ...............
Sioxies To Be Used For Front Depth Heigh! Est. Cost Permit Fee Remarks
LOCATION
or
a (!. , "? . ('
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that... [ ... ,ra7t.;, ...has permission to erect a._r ...... ...... ................?.p .../.... upon
the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopd April 11,
1955. /
...................... ..,.._ IC?C;c..??.-: ............. Per ....................G?c?s :3a"'.... f.:.:: ty.._._.................-----...........
.-
. l Building Inspector '
Chaim of Tnwn Board -
(.
a3
S CITY USE ONLY
PERMIT #: RECEIPT DATE:
?° //b L
8008 RESIDENTIAL MECHANICAL PERMIT APPLICATION
CITY OF EASAP
3830 PILOT KNOB HD
EAa" MN 55122
651-691-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 5-17-02-
SITE ADDRESS: I r-7 ?7,5 Ser hen-)
OWNER NAME: Y-V ? - gym TELEPHONE* 4r 4- C°2'DS 7
INSTALLER NAME:
STREET ADDRESS:
Wohlers Southside Htg. & Air., Inc.
6950 W. 146' St., 9106
Apple Valley, MN _5512.4-
(952) 431-7099
CITY: STATE: ZIP:
Place a check mark next to the permit work type
Add-on, modification or alteration to existing dwelling unit $ 30.00
• fumace replacement
• air exchanger
• air conditioner
• other
Nature ofwork:P, ej?a c-Q--RL?ROCs Y1e E
(O, Cx?TLL s r1cS?Q C-?? tc? 70. L?SC?
?
1??1rnC??-1 Cfl ?? _ I71? ; Ci T?
2
Ir???ta
D
State Surcharge $ 50
Total
SIGNATURE OF PERMITTEE
1/02
CITY USE ONLY
PERMIT #: :. =n1 RECEIPT DATE:
APPROVED BY: INSPECTOR
8008 COMMERCIAL MECHANICAL PERMIT APPLICATION
CITY OF EAGAN
3630 PILOT KNOB RD
EA6AN, MN 551 EE
651-681-4675
Please complete for: all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME:
PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY: STATE: ZIP:
TELEPHONE #:
WORK TYPE: New construction Install U.G. Tank
- Interior Improvement Remove U.G. Tank
Processed Piping
Specify Nature of Work:
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Contract price: $ x l% = $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/02
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711/93
• Rim Joist Dated Options selection sheet (bldgs with 3 or less units)
DATE ? /`0
JOB SITE ADDR
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER cSNEJ?LUr _WE5MI
TYPE OF WORK L.ZI ICJ "R<k, X
APPLICANT ?I? +?tPt'KVU, 1
ADDRESS ?D A III N•
PAGER #
FIREPLACE(S) -0-1 -2
PHONE# /-SZD-96_? y1
ZIP CODE _??UJQ-
CELL PHONE # 40? FAX #
VIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I
(check one) - Residential Ventilation Category 1 Worksheet Sut
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
Water Softener _
Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant s 4?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
DO
RemodellReoair Requirements
2 copies of plan
1 set of Energy Calculations for heated additions
1 site survey for exterior additions & decks
Indicate if home served by septic system for additions
VALUATION /V.
_ Phone
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
OFFICE USE ONLY
s
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ' ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or - N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Finai/C.O.
_ Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
Foundation _ HVAC
- Drain Tile Other
Roof _ Ice & Water _ Final - Figs _ Air/Gas Tests
Pool Final
- Framing _ _
Stucco _ Stone
Siding _
Fireplace _ R.I.
-
Air Test -
Final _ _
Windows (new/replacement)
Insulation
- _ Retaining Wall
A
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
S-?k S.SID RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam &window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 7/1193
• Rim Joist Detail Opfions selection sheet (bldgs with 3 or less units)
DATE /n
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? F VP
PROPERTY OWNER S -PLY (A)e5-TRLU91
TYPE OF WORK yr/? Vt ???17 FIREPLACE(S) _ 0 _ 1 _ 2
APPLICA
ADDRESS
PAGER #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I
(check one) Residential Ventilation Category 1 Worksheet Submitted
Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
CELL PHONE # FAX #
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
FCC: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina?nc-es.
Signature of Applicant ??'?- Oc?G.7 h.?
NT IG? NONTS WV WU• PHONE41lAW-- i2?6??yyS`?? PAS 1
?SS?D JAWJ49.ALn AVIE. N- YtTAC. , MIJ ZIP CODE
Water Softener
Water Heater
No. of Baths
RemodellReoair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
1 site survey for extedor additions & decks
Indicate if home served by septic system for additions
aC'
VALUATION I
Phone
Lawn Sprinkler
No. of R.I. Baths
Air Conditioning
Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of-plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor- N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation _ I-IVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final
- Framing - Siding _ Stucco _ Stone
- Fireplace - R.I. - Air Test - Final Windows (new/replacement)
- Insulation -
_ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OF: ...A&AN
7a iL%i?/9E,Y'TNI a4.4`^D'i
4 of q!..L...f.l: i F: Cr,'F`a Cp f.NC
7INIE ;.t]0
?}'6: 531.10.1. I. i' 3 FIi F.PENT':i:Nl 50
CITY OF EAGAN
3830 Pilot Knob Road
Eagan. Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE: BUILDING
Permit Number: 0 2 9 0 6 8
Date Issued: 10/17/96
SITE ADDRESS:
P.I.N.: 10-16705-070-05
1773 SERPENTINE DR
LOT: 7 BLOCK: 5
CEDAR GROVE #6
DESCRIPTION:
.GAS INSERT/GA?
BGilding,.,Permit Type
Building Wp,rk Type
ode `.1 434
Census Code'
? I
C
J.. t? ` x t .w %t t
r'
LINE
FIREPLACE
ALTERATION
ALT. RESIDENTIAL
t
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
1
$25.00
$.50
$25.50
CONTRACTOR: - Applicant - ST. LIC OWNER:
FIRESIDE CORNER INC 16331042 0001068 WESTRUM SHIRLEY
2700 N FAIRVIEW AVE 1773 SERPENTINE DR
ROSEVILLE MN 55113 EAGAN MN 55122
(612) 633-1042 (612)890-9760
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
t
?rxin R "I f11
AP LICANTiPE I EE IG ATURE ISSUED : SI ATUR
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 q f, JD
Iq 0 L t 1996 FIREPLACE PERMIT APPLICATION d`J
/? 681-4675
DATE: art 1-7111 /?/&
DESCRIPTION OF WORK: _ CONSTRUCT NEW FIREPLACE: WOOD BURNING _ GAS
-K INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
ROOM TO BE INSTALLED IN: E L, A 6A, 40 (I) P yr /. P L/ 0 I
STREET ADDRESS: -
LOT BLOCK
2?3
CI
. I
J? SUBD./P.I.D. #:
OWNER CONTRACTOR
APPLICANT: (circle one only)
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY
OWNER
FIREPLACE
INSTALLER
Name: r Q In (d. ) E I AIM Phone #:
iw U- '7(0
Signature:
Street Address:
City: (, C{ DI lit ti State: Mp. Zip:
Company: w 5l'cf oli-eteSi`re &-twPhone #: 33" ?57°
Signature:
Street Address: U). Owa 1-3
City: 13 fit y 11 S C/! 4L State: 2ML'
License #: zz?
Zip:
GAS LINE Company: -Eft e as 6& olo3M//0 Phone #:
INSTALLER
Name:
Signature: _
Street Address:
City:
State:
Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS
p
Chimney/flue must be inspected before concealing.
N
MEMO
-city of eagan
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECH
DATE: AUGUST 25, 1993
SUBJECT: STREETLIGHT ENERGY COSTS
CEDAR GROVE NO. 6 (141 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition
as listed below:
TOTAL 141
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
Ed Kirscht
Sr. Engineering Tech
cc: Mike Foertsch, Asst. City Eng.
Block 1, Lots 1 1
Block 2, Lots 1-8 8
Block 3, Lots 1-18 18
Block 4, Lots 1-11 11
Block 5, Lots 1-9 9
Block 6, Lots 1-53 53
(Lots 54 through 61, Block 6, should not
be billed at this time)
Block 7, Lots 1-12 12
Block 8, Lots 1-18 18
Block 9, Lots 1-11 11
EK/je
r
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: June 20, 1969
Billing Name: Cedar Grove Const. Co.
Owner: Cedar Grove Cpnst. Cq.
Plumber: Stein. Inc.
Number: 24 '7 -.S- - ?Q
Site Address: 1773 Serpentine
Billing Address7343 Concord Blvd. E.
ion
Meter No, Permit Fee 7_5n „d.
Meter Reading I Meter Dep.
Meter Sealed: Yes_ lAdd'l Chg.
NO I Total Chg.
Building is a:
Residence X
Multiple No. Units
Commercial
Industrial
Other
Inspected by
Date
Remarks:
By:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County,
nneaota.
11 ra:
By: ! -
Please notify the above office when ready for inspection and connection.
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: June 20, 1969
OWNER: Cedar Grove Const. Co
PLUMBER Stein, Inc.
NUMBER 42-1
Address 1773 Sepentine -7;S b
TYPE OF PIPECebt Iron
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No, of units
x
Location of Connections: Connection Charge 200.00 pd.
Permit Fee 7.50 Pd.
Street Repairs
Total
inspected by:
Date
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County Minnesota
By /
Please notify when ready for inspection and connection and before any portion
of the work is covered.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118088
Date Issued:10/28/2013
Permit Category:ePermit
Site Address: 1773 Serpentine Dr
Lot:7 Block: 5 Addition: Cedar Grove 6th
PID:10-16705-05-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Barbara Bessent
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shirley A Westrum
1773 Serpentine Dr
Eagan MN 55122
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118262
Date Issued:10/30/2013
Permit Category:ePermit
Site Address: 1773 Serpentine Dr
Lot:7 Block: 5 Addition: Cedar Grove 6th
PID:10-16705-05-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Tammy Donner
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shirley A Westrum
1773 Serpentine Dr
Eagan MN 55122
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119644
Date Issued:12/10/2013
Permit Category:ePermit
Site Address: 1773 Serpentine Dr
Lot:7 Block: 5 Addition: Cedar Grove 6th
PID:10-16705-05-070
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shirley A Westrum
1773 Serpentine Dr
Eagan MN 55122
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120121
Date Issued:01/17/2014
Permit Category:ePermit
Site Address: 1773 Serpentine Dr
Lot:7 Block: 5 Addition: Cedar Grove 6th
PID:10-16705-05-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shirley A Westrum
1773 Serpentine Dr
Eagan MN 55122
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature